| NPI | 1083987002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACHELLE GIORDON Credentialing Specialist 330-723-2111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |